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Event was reported as blood leakage:
redo descending aortic replacement was performed on the patient with et (essential thrombocythaemia) who underwent the gelweave implantation on (b)(6) 2026.During the procedure, significant blood leakage from the gelweave was noted.Despite the administration of protamine, there was still significant leakage from the gelweave, making it difficult to achieve hemostasis.Although nearly two hours passed, hemostasis could not be achieved.Therefore, three surgiflo hemostatic matrix kits (johnson & johnson) were used, and a surgicel absorbable hemostat (johnson & johnson) was placed firmly on the bleeding site.Then, the chest was closed.Doctor's comment:
blood leakage occurred from the gelweave implanted on (b)(6) 2026.Due to the difficulty of achieving homeostasis during the redo procedure because of the leakage, the applicability of gelweave for patients who will undergo a redo procedure must be considered.It would be difficult to use gelweave unless the cause of this event is identified because i will not be able to provide patients with reasonable explanations about the devices that will be used during the procedure.There was no health damage was reported after closing the chest.
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Clinical code:
1888 - hemorrhage/blood loss/bleeding - event reported by the sight as blood leakage.Impact code:
4624 - surgical intervention -three surgiflo hemostatic matrix kits (johnson & johnson) were used, and a surgicel absorbable hemostat (johnson & johnson) was placed firmly on the bleeding site.Then, the chest was closed.Medical device problem:
1250 - fluid/blood leak: site reported significant blood leakage from the gelweave device.Component code:
4755 - part/component/sub-assembly term not applicable:
type of investigation:
4109 - historical data analysis: four-year review was performed for gelweave > leakage > blood oozing > body / blank / unknown, this gave an occurrence rate of (b)(4).No trend identified requiring action at this time.Investigation findings:
3233 - results pending completion of investigation - investigation ongoing.Investigation conclusion:
22 - known inherent risk of device: gelweave_siena_ver5_eng states in serious adverse events section bleeding & leakage of plasma components.11 - conclusion not yet available: investigation ongoing.
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